NPI: 1255796017 · GOSHEN, IN 46526 · Ambulatory Surgical Clinic/Center · NPI assigned 12/22/2015
| Authorized Official | SARASIN, CHERI (ADMINISTRATIVE DIRECTOR) |
| NPI Enumeration Date | 12/22/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 18 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 18 | 16 | $8K |